BPJS RAJAL POLI PAGI AGUSTUS 2021

NO Kode dr. Stefani Wylna W, Sp. KFR

NO Tanggal NAMA PASIEN
SEP Dokter Konsul Tind.

1 51 STEFANI 02/08/2021 BONG SOEI JING 57,810

2 52 STEFANI 02/08/2021 TJONG KAP HO 57,810
3 93 STEFANI 02/08/2021 BONG KIM SOEI 34,230
4 94 STEFANI 02/08/2021 NURJATI 57,810
5 102 STEFANI 02/08/2021 INDRAWILIS 34,230
6 105 STEFANI 02/08/2021 ASWANDY 34,230
7 108 STEFANI 02/08/2021 HIKMAH 34,230
8 109 STEFANI 02/08/2021 SYAMSIAH 34,230
9 113 STEFANI 02/08/2021 DESI IRNOLIA S 34,230
10 115 STEFANI 02/08/2021 ASTINA 34,230
11 119 STEFANI 02/08/2021 NABILA ZAHRANI 34,230
12 120 STEFANI 02/08/2021 CHAIRISA DELWAN 34,230
13 121 STEFANI 02/08/2021 AUFI I 34,230
14 123 STEFANI 02/08/2021 A NURSIAH 34,230
15 143 STEFANI 02/08/2021 SUHARDI USMAN 57,810
16 281 STEFANI 03/08/2021 INDRAWILIS 58,230
17 283 STEFANI 03/08/2021 LIM MEN KWET 34,230
18 284 STEFANI 03/08/2021 ARMIN BASUKI 58,230
19 285 STEFANI 03/08/2021 TJHIN HO MOEIJ 34,230
20 294 STEFANI 03/08/2021 RATNA 34,230
21 301 STEFANI 03/08/2021 AGNAR ANDRIAN 34,230
22 306 STEFANI 03/08/2021 LIDIA YUNIATI 58,230
23 311 STEFANI 03/08/2021 AIDA ELYSAH 34,230
24 312 STEFANI 03/08/2021 RUSMAN 34,230
25 332 STEFANI 03/08/2021 HASAN BASRI 57,810
26 466 STEFANI 04/08/2021 SURYANINGSIH 34,230
27 467 STEFANI 04/08/2021 ZAKARIA 58,230
28 469 STEFANI 04/08/2021 JOHANA ROSANA 34,230
29 473 STEFANI 04/08/2021 SHEVA A 34,230
30 479 STEFANI 04/08/2021 SAUR PARULIAN H 34,230
31 481 STEFANI 04/08/2021 RUSWANTO 34,230
32 484 STEFANI 04/08/2021 ARSYAD 34,230
33 674 STEFANI 05/08/2021 RUSMAN 34,230
34 675 STEFANI 05/08/2021 AIDA ELYSAH 34,230
35 677 STEFANI 05/08/2021 A NURSIAH 34,230
36 683 STEFANI 05/08/2021 ARUMA L 34,230
37 687 STEFANI 05/08/2021 RATNA 34,230
38 690 STEFANI 05/08/2021 DESI IRNOLIA S 34,230
39 691 STEFANI 05/08/2021 ASWANDY 34,230
40 738 STEFANI 05/08/2021 EDI CHANDRA 34,230
41 892 STEFANI 05/08/2021 ASTINA 34,230
42 1085 STEFANI 07/08/2021 DAMHURI 57,810
43 1152 STEFANI 07/08/2021 JOHANA ROSANA 34,230
44 1155 STEFANI 07/08/2021 SRI MULYADI 34,230
45 1157 STEFANI 07/08/2021 BONG KIM SOEI 34,230
46 1160 STEFANI 07/08/2021 DEMMA TEPU 34,230
47 1163 STEFANI 07/08/2021 CHAIRISA DELWAN 34,230
48 1165 STEFANI 07/08/2021 AUFI IKHTIA ILMA 34,230
49 1167 STEFANI 07/08/2021 ARSAD 34,230
50 1170 STEFANI 07/08/2021 AGNAR ANDRIAN 34,230
51 1173 STEFANI 07/08/2021 SHEVA A 34,230
52 1358 STEFANI 09/08/2021 SINTA 57,810
53 1439 STEFANI 09/08/2021 BONG KIM SOEI 34,230
54 1447 STEFANI 09/08/2021 ASTINA 34,230
55 1448 STEFANI 09/08/2021 ASWANDY 34,230
56 1450 STEFANI 09/08/2021 EDI CHANDRA 34,230
57 1456 STEFANI 09/08/2021 A. NURSIAH 58,230
58 1457 STEFANI 09/08/2021 RUSMAN 34,230
59 1458 STEFANI 09/08/2021 DESI IRNOLIA S 34,230
60 1473 STEFANI 09/08/2021 HIKMAH 34,230
61 1482 STEFANI 09/08/2021 EDDY KASIM 34,230
62 1531 STEFANI 09/08/2021 MELLY SURYADI 57,810
63 1569 STEFANI 09/08/2021 ATUNG HUSIN 57,810
64 1692 STEFANI 10/08/2021 SHEVA ALMADINAH 34,230
65 1702 STEFANI 10/08/2021 RATNA 34,230
66 1915 STEFANI 12/08/2021 DESI IRNOLIA S 34,230
67 1916 STEFANI 12/08/2021 RATNA 34,230
68 1931 STEFANI 12/08/2021 AIDA ELYSAH 34,230
69 1942 STEFANI 12/08/2021 RUSMAN 34,230
70 1943 STEFANI 12/08/2021 ASTINA 34,230
71 1950 STEFANI 12/08/2021 NABILA ZAHRANI 34,230
72 1952 STEFANI 12/08/2021 CHAIRISA DELWAN 34,230
73 1968 STEFANI 12/08/2021 TJHIN HO MOEIJ 34,230
74 1972 STEFANI 12/08/2021 INDRAWILIS 58,230
75 1974 STEFANI 12/08/2021 AUFI IKHTIA ILMA 34,230
76 2023 STEFANI 12/08/2021 EDDY KASIM 34,230
77 2146 STEFANI 13/08/2021 RUMAINI 57,810
78 2150 STEFANI 13/08/2021 RASIDI SANUSI 57,810
79 2331 STEFANI 14/08/2021 TJHIN A KUI 57,810
80 2391 STEFANI 14/08/2021 AUFI IKHTIA ILMA 34,230
81 2394 STEFANI 14/08/2021 HIKMAH 58,230
82 2400 STEFANI 14/08/2021 AGNAR ANDRIAN 34,230
83 2402 STEFANI 14/08/2021 SHEVA ALMADINAH 34,230
84 2404 STEFANI 14/08/2021 ARSYAD 34,230
85 2407 STEFANI 14/08/2021 BONG KIM SOEI 34,230
86 2408 STEFANI 14/08/2021 JOHANA ROSANA 34,230
87 2413 STEFANI 14/08/2021 AGUSTINA VERONICA 58,230
88 2416 STEFANI 14/08/2021 FATIMAH 34,230
89 2446 STEFANI 14/08/2021 BALKIS 57,810
90 2635 STEFANI 16/08/2021 TJHIN HO MOEIJ 34,230
91 2648 STEFANI 16/08/2021 DESI IRNOLIA S 34,230
92 2650 STEFANI 16/08/2021 EDI CHANDRA 34,230
93 2652 STEFANI 16/08/2021 CHAIRISA DELWAN 34,230
94 2655 STEFANI 16/08/2021 SYAMSIAH 58,230
95 2657 STEFANI 16/08/2021 AL HABIB MIRZA R 34,230
96 2658 STEFANI 16/08/2021 A. NURSIAH 34,230
97 2698 STEFANI 16/08/2021 RATNA 34,230
98 2700 STEFANI 16/08/2021 RUSMAN 58,230
99 2934 STEFANI 18/08/2021 ARSAD 34,230
100 2935 STEFANI 18/08/2021 BONG KIM SOEI 34,230
101 2938 STEFANI 18/08/2021 JOHANA ROSANA 34,230
102 2939 STEFANI 18/08/2021 AIDA ELSYAH 34,230
103 2940 STEFANI 18/08/2021 ASWANDY 58,230
104 3018 STEFANI 18/08/2021 EDDY KASIM 58,230
105 3197 STEFANI 19/08/2021 LIE PIT ENG 57,810
106 3213 STEFANI 19/08/2021 HAJIMAH 34,230
107 3214 STEFANI 19/08/2021 AIDA ELSYAH 34,230
108 3218 STEFANI 19/08/2021 RATNA 34,230
109 3219 STEFANI 19/08/2021 RUSMAN 34,230
110 3221 STEFANI 19/08/2021 AUFI IKHTIA ILMA 34,230
111 3223 STEFANI 19/08/2021 DESI IRNOLIA S 34,230
112 3224 STEFANI 19/08/2021 CHAIRISA DELWAN 34,230
113 3227 STEFANI 19/08/2021 EDI CHANDRA 34,230
114 3305 STEFANI 19/08/2021 NAPISAH 57,810
115 3362 STEFANI 20/08/2021 ARYANI 57,810
116 3430 STEFANI 20/08/2021 LODI HARSONO 57,810
117 3579 STEFANI 21/08/2021 SHEVA ALMADINAH 34,230
118 3583 STEFANI 21/08/2021 JOHANA ROSANA 34,230
119 3590 STEFANI 21/08/2021 AGNAR A 34,230
120 3600 STEFANI 21/08/2021 HAJIMAH 34,230
121 3752 STEFANI 24/08/2021 SAYAH 57,810
122 3836 STEFANI 23/08/2021 TJHIN HO MOEIJ 34,230
123 3844 STEFANI 23/08/2021 AL HABIB MIRZA R 34,230
124 3846 STEFANI 23/08/2021 ASWANDY 34,230
125 3851 STEFANI 23/08/2021 DESI IRNOLIA S 34,230
126 3852 STEFANI 23/08/2021 EDI CHANDRA 34,230
127 3854 STEFANI 23/08/2021 RUSMAN 34,230
128 3858 STEFANI 23/08/2021 CHAIRISA DELWAN 34,230
129 3859 STEFANI 23/08/2021 ASTINA 34,230
130 3961 STEFANI 24/08/2021 PINI 57,810
131 3963 STEFANI 24/08/2021 BERTHA LISBET 57,810
132 4041 STEFANI 24/08/2021 JOHANA ROSANA 34,230
133 4046 STEFANI 24/08/2021 RATNA 34,230
134 4060 STEFANI 24/08/2021 SALAMI 34,230
135 4104 STEFANI 24/08/2021 YUSIA RENATA 57,810
136 4114 STEFANI 24/08/2021 HAIMAH 34,230
137 4192 STEFANI 25/08/2021 BONG KIM SOEI 34,230
138 4201 STEFANI 25/08/2021 SHEVA ALMADINAH 34,230
139 4204 STEFANI 25/08/2021 SYAMSIAH 34,230
140 4207 STEFANI 25/08/2021 HIKMAH 34,230
141 4330 STEFANI 26/08/2021 MEGA 57,810
142 4367 STEFANI 25/08/2021 EDI CHANDRA 34,230
143 4378 STEFANI 25/08/2021 RATNA 34,230
144 4383 STEFANI 25/08/2021 ASWANDY 34,230
145 4388 STEFANI 25/08/2021 RUSMAN 34,230
146 4389 STEFANI 25/08/2021 CHAIRISA DELWAN 34,230
147 4390 STEFANI 25/08/2021 ASTINA 34,230
148 4391 STEFANI 25/08/2021 AUFI IKHTIA ILMA 34,230
149 4433 STEFANI 25/08/2021 DESI IRNOLIA S 34,230
150 4456 STEFANI 26/08/2021 ARBI ADE ROBEN 57,810
151 4529 STEFANI 27/08/2021 TJEN A MOIJ 58,770
152 4623 STEFANI 27/08/2021 SUHARDI USMAN 57,810
153 4747 STEFANI 28/08/2021 SUCIPTO 58,230
154 4750 STEFANI 28/08/2021 BONG KIM SOEI 34,230
155 4752 STEFANI 28/08/2021 MARINI 58,230
156 4755 STEFANI 28/08/2021 SHEVA ALMADINAH 34,230
157 4758 STEFANI 28/08/2021 HAJIMAH 34,230
158 4764 STEFANI 28/08/2021 HIKMAH 34,230
159 4766 STEFANI 28/08/2021 AUFI IKHTIA ILMA 34,230
160 4768 STEFANI 28/08/2021 AL HABIB MIRZA R 34,230
161 4770 STEFANI 28/08/2021 AGNAR ANDRIAN 34,230
162 4779 STEFANI 30/08/2021 SOEIJ SAK 57,810
163 4798 STEFANI 28/08/2021 PINI 34,230
164 4967 STEFANI 30/08/2021 MEGAWATI 57,810
165 4985 STEFANI 30/08/2021 RUSMAN 34,230
166 4988 STEFANI 30/08/2021 ASTINA 34,230
167 4989 STEFANI 30/08/2021 EDI CHANDRA 34,230
168 4990 STEFANI 30/08/2021 CHAIRISA DELWAN 34,230
169 4993 STEFANI 30/08/2021 AL HABIB MIRZA R 34,230
170 5012 STEFANI 30/08/2021 TJEN A MOIJ 34,230
171 5183 STEFANI 31/08/2021 ASWANDY 34,230
172 5184 STEFANI 31/08/2021 ANITA ERLIANA 34,230
173 5190 STEFANI 31/08/2021 ARBI ADE ROBEN 34,230
174 5192 STEFANI 31/08/2021 MEGA 34,230
175 5218 STEFANI 31/08/2021 SOEIJ SAK 34,230
176 5234 STEFANI 31/08/2021 TJONG A HIE 57,810
177 5242 STEFANI 31/08/2021 WASITO 57,810
178 5251 STEFANI 31/08/2021 INDRAWILIS 57,810
179 5259 STEFANI 31/08/2021 HAJIMAH 34,230

TOTAL 7,171,530 -

BPJS KRONIS RAJAL POLI PAGI AGUSTUS 2021

NO Kode dr. Stefani Wylna W, Sp. KFR
NO Tanggal NAMA PASIEN
SEP Dokter Konsul Tind.

1 328 STEFANI 03/08/2021 ALMAN 57,810

2 1724 STEFANI 10/08/2021 FATIMAH 57,810

TOTAL 115,620 -

BPJS MCS RAJAL POLI PAGI AGUSTUS 2021

NO Kode dr. Stefani Wylna W, Sp. KFR
NO Tanggal NAMA PASIEN
SEP Dokter Konsul Tind.

1 3199 STEFANI 19/08/2021 EDI LINARTA AIR LANGGA 58,230

2 5197 STEFANI 31/08/2021 EDI LINARTA AIR LANGGA 58,230

TOTAL 116,460 -

BPJS RAJAL POLI PAGI AGUSTUS 2021 (PENDING)

NO Kode Biaya
NO SEP Dokter Tanggal NAMA PASIEN Kartu Fisioterapi

1 95 FISIO 02/08/2021 KRISMAN S 10,000 94,000

2 96 FISIO 02/08/2021 MEGAWATI 10,000 94,000
3 97 FISIO 02/08/2021 LUNDU T 10,000 94,000
4 98 FISIO 02/08/2021 TRI SULISTIKA 10,000 94,000
5 99 FISIO 02/08/2021 MEI LING 10,000 94,000
6 100 FISIO 02/08/2021 EMMY P 10,000 94,000
7 103 FISIO 02/08/2021 JAPARIS P 10,000 94,000
8 104 FISIO 02/08/2021 ASNIATY ISMAIL 10,000 94,000
9 106 FISIO 02/08/2021 H ISMAIL ISHAK 10,000 94,000
10 107 FISIO 02/08/2021 BUDI H 10,000 94,000
11 111 FISIO 02/08/2021 HECHDIMA S 10,000 94,000
12 112 FISIO 02/08/2021 ESTANA 10,000 94,000
13 114 FISIO 02/08/2021 SUKIATNO 10,000 94,000
14 117 FISIO 02/08/2021 SYAMSUDIN 10,000 94,000
15 118 FISIO 02/08/2021 AGUSTINA V 10,000 94,000
16 124 FISIO 02/08/2021 KMS MUSTAFA 10,000 94,000
17 126 FISIO 02/08/2021 DARNA F 10,000 94,000
18 127 FISIO 02/08/2021 DARIAH 10,000 94,000
19 129 FISIO 02/08/2021 KHIUN LOI 10,000 94,000
20 146 FISIO 02/08/2021 OKTA M 10,000 94,000
21 182 FISIO 02/08/2021 MARYANTI 10,000 94,000
22 188 FISIO 02/08/2021 LIE PIT ENG 10,000 94,000
23 282 FISIO 03/08/2021 BONG KIT LIE 10,000 94,000
24 288 FISIO 03/08/2021 NILAWATI SIRIN 10,000 94,000
25 289 FISIO 03/08/2021 LAIJ SOEN SIAN 10,000 94,000
26 291 FISIO 03/08/2021 ANDI MULYANTI 10,000 94,000
27 292 FISIO 03/08/2021 PHAN FOEI LIOENG 10,000 94,000
28 293 FISIO 03/08/2021 VICTOR TAMBUNAN 10,000 94,000
29 295 FISIO 03/08/2021 ZUBAIDAH 10,000 94,000
30 297 FISIO 03/08/2021 NURZAILA 10,000 94,000
31 298 FISIO 03/08/2021 MARIA MAGDALENA 10,000 94,000
32 299 FISIO 03/08/2021 ROHANI 10,000 94,000
33 300 FISIO 03/08/2021 SUPRIYATI 10,000 94,000
34 302 FISIO 03/08/2021 SAYUTI SYAMSURI 10,000 94,000
35 303 FISIO 03/08/2021 M SYAIDI 10,000 94,000
36 304 FISIO 03/08/2021 ERNIA 10,000 94,000
37 305 FISIO 03/08/2021 PINTOR P 10,000 94,000
38 307 FISIO 03/08/2021 DARNA F 10,000 94,000
39 308 FISIO 03/08/2021 KMS MUSTAFA 10,000 94,000
40 309 FISIO 03/08/2021 MASLIN 10,000 94,000
41 310 FISIO 03/08/2021 AIJ LIE 10,000 94,000
42 336 FISIO 03/08/2021 INDO BARU 10,000 94,000
43 343 FISIO 03/08/2021 AKHMAD SYUKRILLAH 10,000 94,000
44 346 FISIO 03/08/2021 SUPARDI AZAM 10,000 94,000
45 352 FISIO 03/08/2021 TJEN KWEE FONG 10,000 94,000
46 354 FISIO 03/08/2021 USNINA USMAN 10,000 94,000
47 357 FISIO 03/08/2021 TANJENG 10,000 94,000
48 465 FISIO 04/08/2021 NASIAH 10,000 94,000
49 468 FISIO 04/08/2021 SUCIPTO 10,000 94,000
50 471 FISIO 04/08/2021 JAPARIS P 10,000 94,000
51 474 FISIO 04/08/2021 PAINAH 10,000 94,000
52 475 FISIO 04/08/2021 RASDIATI H 10,000 94,000
53 477 FISIO 04/08/2021 EKA KUSMINAR 10,000 94,000
54 478 FISIO 04/08/2021 HASAN 10,000 94,000
55 480 FISIO 04/08/2021 ROSIDAH 10,000 94,000
56 482 FISIO 04/08/2021 MASLIN 10,000 94,000
57 483 FISIO 04/08/2021 SUPARDI AZAM 10,000 94,000
58 485 FISIO 04/08/2021 YOHANA 10,000 94,000
59 487 FISIO 04/08/2021 PINTOR PARULIAN 10,000 94,000
60 494 FISIO 04/08/2021 SUHARDI USMAN 10,000 94,000
61 514 FISIO 04/08/2021 SRI ASTUTI 10,000 94,000
62 669 FISIO 05/08/2021 ALMAN 10,000 94,000
63 671 FISIO 05/08/2021 MURHANA 10,000 94,000
64 672 FISIO 05/08/2021 IRMA MARDIANI 10,000 94,000
65 673 FISIO 05/08/2021 MARIA MAGDALENA 10,000 94,000
66 676 FISIO 05/08/2021 SYAMSUDIN 10,000 94,000
67 678 FISIO 05/08/2021 AGUSTINA V 10,000 94,000
68 679 FISIO 05/08/2021 MARYANTI 10,000 94,000
69 680 FISIO 05/08/2021 USNINA U 10,000 94,000
70 681 FISIO 05/08/2021 ESTANA INTAN M 10,000 94,000
71 682 FISIO 05/08/2021 SAYUTI S 10,000 94,000
72 684 FISIO 05/08/2021 EKA KUSMINAR 10,000 94,000
73 685 FISIO 05/08/2021 PINTA GORGOR 10,000 94,000
74 688 FISIO 05/08/2021 SUKIATNO 10,000 94,000
75 689 FISIO 05/08/2021 H ISMAIL ISHAK 10,000 94,000
76 692 FISIO 05/08/2021 SUPRIYANTO 10,000 94,000
77 693 FISIO 05/08/2021 SRI ASTUTI 10,000 94,000
78 694 FISIO 05/08/2021 EMMY P 10,000 94,000
79 695 FISIO 05/08/2021 ANDI MULYANTI 10,000 94,000
80 696 FISIO 05/08/2021 AKUB YAKUB 10,000 94,000
81 697 FISIO 05/08/2021 MEGAWATI 10,000 94,000
82 748 FISIO 05/08/2021 TJEN KWEE FONG 10,000 94,000
83 754 FISIO 05/08/2021 TJONG KAP HO 10,000 94,000
84 766 FISIO 05/08/2021 KAWTI BATMO 10,000 94,000
85 769 FISIO 05/08/2021 KMS MUSTAFA 10,000 94,000
86 1151 FISIO 07/08/2021 SUCIPTO 10,000 94,000
87 1153 FISIO 07/08/2021 IRMA MARDIANI 10,000 94,000
88 1154 FISIO 07/08/2021 PAINAH 10,000 94,000
89 1156 FISIO 07/08/2021 TOIPAH 10,000 94,000
90 1158 FISIO 07/08/2021 TRI SULISTIKA 10,000 94,000
91 1159 FISIO 07/08/2021 HASAN 10,000 94,000
92 1161 FISIO 07/08/2021 SUPRIYANTO IMAM S 10,000 94,000
93 1162 FISIO 07/08/2021 BUDI HARTONO 10,000 94,000
94 1166 FISIO 07/08/2021 NURZAILA 10,000 94,000
95 1168 FISIO 07/08/2021 YOHANA 10,000 94,000
96 1169 FISIO 07/08/2021 PHAN FOEI LOENG 10,000 94,000
97 1171 FISIO 07/08/2021 ERNIA 10,000 94,000
98 1172 FISIO 07/08/2021 M. SYAIDI 10,000 94,000
99 1191 FISIO 07/08/2021 BELMAN HENDRA 10,000 94,000
100 1198 FISIO 07/08/2021 WALITO 10,000 94,000
101 1383 STEFANI 09/08/2021 AL HABIB
102 1438 FISIO 09/08/2021 SUPRIYANTO IMAM S 10,000 94,000
103 1440 FISIO 09/08/2021 KAWIT BATMO TARUNO 10,000 94,000
104 1441 FISIO 09/08/2021 ESTANA INTAN MURNIAWAN 10,000 94,000
105 1442 FISIO 09/08/2021 ALIAS 10,000 94,000
106 1443 FISIO 09/08/2021 MURIDAH 10,000 94,000
107 1444 FISIO 09/08/2021 LIOE FENLOENG 10,000 94,000
108 1445 FISIO 09/08/2021 KHIUN LOI 10,000 94,000
109 1446 FISIO 09/08/2021 AIJ LIE 10,000 94,000
110 1449 FISIO 09/08/2021 SUHARDI USMAN 10,000 94,000
111 1451 FISIO 09/08/2021 USNINA USMAN 10,000 94,000
112 1452 FISIO 09/08/2021 SYAMSUDIN 10,000 94,000
113 1453 FISIO 09/08/2021 MARIA MAGDALENA 10,000 94,000
114 1454 FISIO 09/08/2021 H. ISMAIL ISHAK 10,000 94,000
115 1455 FISIO 09/08/2021 AGUSTINA VERONICA 10,000 94,000
116 1459 FISIO 09/08/2021 SUKIATNO 10,000 94,000
117 1460 FISIO 09/08/2021 TANJENG 10,000 94,000
118 1461 FISIO 09/08/2021 KRISMAN SIMATUPANG 10,000 94,000
119 1462 FISIO 09/08/2021 MEGAWATI 10,000 94,000
120 1463 FISIO 09/08/2021 EMMY PINTAULI 10,000 94,000
121 1464 FISIO 09/08/2021 MEI LING 10,000 94,000
122 1465 FISIO 09/08/2021 TRI SULISTIKA 10,000 94,000
123 1466 FISIO 09/08/2021 LUNDU TAMPUBOLON 10,000 94,000
124 1467 FISIO 09/08/2021 INDRAWILIS 10,000 94,000
125 1469 FISIO 09/08/2021 BUDI HARTONO 10,000 94,000
126 1470 FISIO 09/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
127 1472 FISIO 09/08/2021 ASNIATY ISMAIL 10,000 94,000
128 1474 FISIO 09/08/2021 ARMIN BASUKI 10,000 94,000
129 1485 FISIO 09/08/2021 HASAN BASRI 10,000 94,000
130 1499 FISIO 09/08/2021 LIE DJIT NJONG 10,000 94,000
131 1652 FISIO 10/08/2021 OKTA MULIANINGSIH 10,000 94,000
132 1693 FISIO 10/08/2021 M. SYAIDI 10,000 94,000
133 1694 FISIO 10/08/2021 ERNIA 10,000 94,000
134 1695 FISIO 10/08/2021 PHAN FOEI LOENG 10,000 94,000
135 1696 FISIO 10/08/2021 SUCIPTO 10,000 94,000
136 1697 FISIO 10/08/2021 INDO BARU 10,000 94,000
137 1699 FISIO 10/08/2021 DARNA FIDIAWATI 10,000 94,000
138 1700 FISIO 10/08/2021 LAIJ SOEN SIAN 10,000 94,000
139 1701 FISIO 10/08/2021 NILAWATI SIRIN 10,000 94,000
140 1703 FISIO 10/08/2021 ROHANI 10,000 94,000
141 1704 FISIO 10/08/2021 DAMHURI 10,000 94,000
142 1705 FISIO 10/08/2021 KAWIT BATMO TARUNO 10,000 94,000
143 1711 FISIO 10/08/2021 BELMAN HENDRA 10,000 94,000
144 1741 FISIO 10/08/2021 BONG AY THIN 10,000 94,000
145 1759 FISIO 10/08/2021 KMS. MUSTAFA 10,000 94,000
146 1910 FISIO 12/08/2021 MEGAWATI 10,000 94,000
147 1911 FISIO 12/08/2021 EMMY PINTAULI 10,000 94,000
148 1912 FISIO 12/08/2021 AKUB YAKUB 10,000 94,000
149 1913 FISIO 12/08/2021 SRI ASTUTI 10,000 94,000
150 1914 FISIO 12/08/2021 SUKIATNO 10,000 94,000
151 1917 FISIO 12/08/2021 H ISMAIL ISHAK 10,000 94,000
152 1918 FISIO 12/08/2021 PINTA G HASIBUAN 10,000 94,000
153 1932 FISIO 12/08/2021 SUHARDI USMAN 10,000 94,000
154 1933 FISIO 12/08/2021 ALMAN 10,000 94,000
155 1934 FISIO 12/08/2021 LIDIA YUNIATI 10,000 94,000
156 1935 FISIO 12/08/2021 MARYANTI 10,000 94,000
157 1936 FISIO 12/08/2021 SUPRIYANTO 10,000 94,000
158 1939 FISIO 12/08/2021 ESTANA INTAN MURNIAWAN 10,000 94,000
159 1944 FISIO 12/08/2021 MARIA MAGDALENA 10,000 94,000
160 1947 FISIO 12/08/2021 DAMHURI 10,000 94,000
161 1948 FISIO 12/08/2021 SYAMSUDIN 10,000 94,000
162 1949 FISIO 12/08/2021 AGUSTINA VERONICA 10,000 94,000
163 1951 FISIO 12/08/2021 EDI CHANDRA 10,000 94,000
164 1955 FISIO 12/08/2021 KMS MUSTAFA 10,000 94,000
165 1956 FISIO 12/08/2021 AIJ LIE 10,000 94,000
166 1960 FISIO 12/08/2021 MELLY SURYADI 10,000 94,000
167 1961 FISIO 12/08/2021 KHIUN LOI 10,000 94,000
168 1962 FISIO 12/08/2021 USNINA USMAN 10,000 94,000
169 1963 FISIO 12/08/2021 LAIJ SOEN SIAN 10,000 94,000
170 1964 FISIO 12/08/2021 SUPARDI AZAM 10,000 94,000
171 1965 FISIO 12/08/2021 HASAN BASRI 10,000 94,000
172 1966 FISIO 12/08/2021 ROSIDAH 10,000 94,000
173 1975 FISIO 12/08/2021 EKA KUSMINAR 10,000 94,000
174 2004 FISIO 12/08/2021 ERNI SURYANTI 10,000 94,000
175 2066 FISIO 12/08/2021 SAYUTI SYAMSURI 10,000 94,000
176 2068 FISIO 12/08/2021 BONG AY THIN 10,000 94,000
177 2081 FISIO 12/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
178 2215 FISIO 12/08/2021 MASLIN 10,000 94,000
179 2386 FISIO 14/08/2021 SAYUTI SYAMSURI 10,000 94,000
180 2388 FISIO 14/08/2021 ERNIA 10,000 94,000
181 2389 FISIO 14/08/2021 M SYAIDI 10,000 94,000
182 2390 FISIO 14/08/2021 PHAN FOEI LOENG 10,000 94,000
183 2392 FISIO 14/08/2021 MELLY SURYADI 10,000 94,000
184 2393 FISIO 14/08/2021 PINTOR P 10,000 94,000
185 2395 FISIO 14/08/2021 TANJENG 10,000 94,000
186 2396 FISIO 14/08/2021 DARNA FIDIAWATI 10,000 94,000
187 2398 FISIO 14/08/2021 BELMAN HENDRA 10,000 94,000
188 2399 FISIO 14/08/2021 HASAN 10,000 94,000
189 2405 FISIO 14/08/2021 TRI S 10,000 94,000
190 2410 FISIO 14/08/2021 TOIPAH 10,000 94,000
191 2412 FISIO 14/08/2021 SUCIPTO 10,000 94,000
192 2463 FISIO 14/08/2021 ENY WIDYARTI 10,000 94,000
193 2632 FISIO 16/08/2021 MEGAWATI 10,000 94,000
194 2633 FISIO 16/08/2021 EMMY PINTAULI 10,000 94,000
195 2634 FISIO 16/08/2021 TRI S 10,000 94,000
196 2636 FISIO 16/08/2021 LUNDU TAMPUBOLON 10,000 94,000
197 2637 FISIO 16/08/2021 ARMIN BASUKI 10,000 94,000
198 2638 FISIO 16/08/2021 LIE DJIT NJONG 10,000 94,000
199 2639 FISIO 16/08/2021 ASNIATY ISMAIL 10,000 94,000
200 2640 FISIO 16/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
201 2642 FISIO 16/08/2021 MELLY SURYADI 10,000 94,000
202 2643 FISIO 16/08/2021 DARNA FIDIAWATI 10,000 94,000
203 2644 FISIO 16/08/2021 DAMHURI 10,000 94,000
204 2645 FISIO 16/08/2021 HECHDIMA SIMAMORA 10,000 94,000
205 2646 FISIO 16/08/2021 MARIA MAGDALENA 10,000 94,000
206 2647 FISIO 16/08/2021 H. ISMAIL ISHAK 10,000 94,000
207 2649 FISIO 16/08/2021 LAIJ SOEN SIAN 10,000 94,000
208 2651 FISIO 16/08/2021 SYAMSUDIN 10,000 94,000
209 2653 FISIO 16/08/2021 KHIUN LOI 10,000 94,000
210 2654 FISIO 16/08/2021 NURZAILA 10,000 94,000
211 2659 FISIO 16/08/2021 BONG SOEI JING 10,000 94,000
212 2661 FISIO 16/08/2021 KMS. MUSTAFA 10,000 94,000
213 2662 FISIO 16/08/2021 SINTA 10,000 94,000
214 2683 FISIO 16/08/2021 AGUSTINA VERONICA 10,000 94,000
215 2696 FISIO 16/08/2021 HASAN BASRI 10,000 94,000
216 2932 FISIO 18/08/2021 PHAN FOEI LOENG 10,000 94,000
217 2936 FISIO 18/08/2021 SUCIPTO 10,000 94,000
218 2937 FISIO 18/08/2021 MARINI 10,000 94,000
219 2942 FISIO 18/08/2021 ROHANI 10,000 94,000
220 2943 FISIO 18/08/2021 PINTA GORGOR HASIBUAN 10,000 94,000
221 2944 FISIO 18/08/2021 KRISMAN SIMATUPANG 10,000 94,000
222 2945 FISIO 18/08/2021 LAIJ SOEN SIAN 10,000 94,000
223 2946 FISIO 18/08/2021 HECHDIMA SIMAMORA 10,000 94,000
224 2947 FISIO 18/08/2021 SRI ASTUTI 10,000 94,000
225 2948 FISIO 18/08/2021 ERNI SURYANTI 10,000 94,000
226 2949 FISIO 18/08/2021 NASIAH 10,000 94,000
227 2950 FISIO 18/08/2021 NILAWATI SIRIN 10,000 94,000
228 2951 FISIO 18/08/2021 BALKIS 10,000 94,000
229 2953 FISIO 18/08/2021 TJHIN A KUI 10,000 94,000
230 2955 FISIO 18/08/2021 SINTA 10,000 94,000
231 2956 FISIO 18/08/2021 PAINAH 10,000 94,000
232 2957 FISIO 18/08/2021 ERNIA 10,000 94,000
233 2958 FISIO 18/08/2021 M. SYAIDI 10,000 94,000
234 2959 FISIO 18/08/2021 SAYUTI SYAMSURI 10,000 94,000
235 2962 FISIO 18/08/2021 AIJ LIE 10,000 94,000
236 2963 FISIO 18/08/2021 TJHANG AI TJHUN 10,000 94,000
237 3000 FISIO 18/08/2021 PHAN PAT TJO 10,000 94,000
238 3001 FISIO 18/08/2021 RUMAINI 10,000 94,000
239 3005 FISIO 18/08/2021 TJEN KWEE FONG 10,000 94,000
240 3196 FISIO 19/08/2021 FATIMAH 10,000 94,000
241 3198 FISIO 19/08/2021 BELMAN HENDRA 10,000 94,000
242 3200 FISIO 19/08/2021 KMS. MUSTAFA 10,000 94,000
243 3201 FISIO 19/08/2021 MEGAWATI 10,000 94,000
244 3202 FISIO 19/08/2021 EMMY PINTAULI 10,000 94,000
245 3203 FISIO 19/08/2021 SRI ASTUTI 10,000 94,000
246 3204 FISIO 19/08/2021 H. ISMAIL ISHAK 10,000 94,000
247 3205 FISIO 19/08/2021 SUKIATNO 10,000 94,000
248 3206 FISIO 19/08/2021 DAMHURI 10,000 94,000
249 3207 FISIO 19/08/2021 MELLY SURYADI 10,000 94,000
250 3208 FISIO 19/08/2021 LIDIA YUNIATI 10,000 94,000
251 3210 FISIO 19/08/2021 PINTA GORGOR HASIBUAN 10,000 94,000
252 3211 FISIO 19/08/2021 EKA KUSMINAR 10,000 94,000
253 3212 FISIO 19/08/2021 USNINA USMAN 10,000 94,000
254 3215 FISIO 19/08/2021 DARNA FIDIAWATI 10,000 94,000
255 3216 FISIO 19/08/2021 SUPRIYANTO 10,000 94,000
256 3220 FISIO 19/08/2021 MARIA MAGDALENA 10,000 94,000
257 3222 FISIO 19/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
258 3225 FISIO 19/08/2021 AGUSTINA VERONICA 10,000 94,000
259 3226 FISIO 19/08/2021 SYAMSUDIN 10,000 94,000
260 3228 FISIO 19/08/2021 ANDI MULYANTI 10,000 94,000
261 3268 FISIO 19/08/2021 BONG AY THIN 10,000 94,000
262 3578 FISIO 21/08/2021 SUCIPTO 10,000 94,000
263 3580 FISIO 21/08/2021 TRI SULISTIKA 10,000 94,000
264 3582 FISIO 21/08/2021 MARINI 10,000 94,000
265 3584 FISIO 21/08/2021 PHAN FOEI LOENG 10,000 94,000
266 3586 FISIO 21/08/2021 TANJENG 10,000 94,000
267 3588 FISIO 21/08/2021 PINTOR PARULIAN 10,000 94,000
268 3593 FISIO 21/08/2021 ROSIDAH 10,000 94,000
269 3595 FISIO 21/08/2021 BONG SOEI JING 10,000 94,000
270 3596 FISIO 21/08/2021 USNINA USMAN 10,000 94,000
271 3597 FISIO 21/08/2021 SAYUTI SYAMSURI 10,000 94,000
272 3598 FISIO 21/08/2021 M SYAIDI 10,000 94,000
273 3601 FISIO 21/08/2021 ERNIA 10,000 94,000
274 3602 FISIO 21/08/2021 BELMAN HENDRA 10,000 94,000
275 3604 FISIO 21/08/2021 PAINAH 10,000 94,000
276 3631 FISIO 21/08/2021 PHAN PAT TJO 10,000 94,000
277 3635 FISIO 21/08/2021 ENY W 10,000 94,000
278 3638 FISIO 21/08/2021 KAWIT BATMO TARUMO 10,000 94,000
279 3642 FISIO 21/08/2021 RUMAINI 10,000 94,000
280 3832 FISIO 23/08/2021 MEGAWATI 10,000 94,000
281 3833 FISIO 23/08/2021 TRI SULISTIKA 10,000 94,000
282 3834 FISIO 23/08/2021 EMMY PINTAULI 10,000 94,000
283 3835 FISIO 23/08/2021 LUNDU TAMPUBOLON 10,000 94,000
284 3837 FISIO 23/08/2021 ASNIATY ISMAIL 10,000 94,000
285 3838 FISIO 23/08/2021 MELLY SURYADI 10,000 94,000
286 3839 FISIO 23/08/2021 LAIJ SOEN SIAN 10,000 94,000
287 3841 FISIO 23/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
288 3842 FISIO 23/08/2021 DARNA FIDIAWATI 10,000 94,000
289 3843 FISIO 23/08/2021 USNINA USMAN 10,000 94,000
290 3847 FISIO 23/08/2021 AIJ LIE 10,000 94,000
291 3848 FISIO 23/08/2021 DAMHURI B DAHLAN 10,000 94,000
292 3849 FISIO 23/08/2021 H ISMAIL ISHAK 10,000 94,000
293 3850 FISIO 23/08/2021 ESTANA INTAN MURNIAWAN 10,000 94,000
294 3853 FISIO 23/08/2021 KMS. MUSTAFA 10,000 94,000
295 3855 FISIO 23/08/2021 ARMIN BASUKI 10,000 94,000
296 3856 FISIO 23/08/2021 LIE DJIT NJONG 10,000 94,000
297 3857 FISIO 23/08/2021 MARIA MAGDALENA 10,000 94,000
298 3860 FISIO 23/08/2021 NAPISAH 10,000 94,000
299 3863 FISIO 23/08/2021 ARYANI 10,000 94,000
300 3864 FISIO 23/08/2021 LODI HARSONO 10,000 94,000
301 3900 FISIO 23/08/2021 HASAN BASRI 10,000 94,000
302 3905 FISIO 23/08/2021 MARYANTI 10,000 94,000
303 3928 FISIO 23/08/2021 BUDI HARTONO 10,000 94,000
304 4040 FISIO 24/08/2021 KRISMAN SIMATUPANG 10,000 94,000
305 4042 FISIO 24/08/2021 HECHDIMA SIMAMORA 10,000 94,000
306 4043 FISIO 24/08/2021 SINTA 10,000 94,000
307 4045 FISIO 24/08/2021 SUPRIYANTO IMAM S 10,000 94,000
308 4047 FISIO 24/08/2021 INDO BARU 10,000 94,000
309 4048 FISIO 24/08/2021 LUSIA 10,000 94,000
310 4049 FISIO 24/08/2021 BALKIS 10,000 94,000
311 4050 FISIO 24/08/2021 LIDIA YUNIATI 10,000 94,000
312 4051 FISIO 24/08/2021 TANJENG 10,000 94,000
313 4052 FISIO 24/08/2021 PHAN FOEI LIOENG 10,000 94,000
314 4053 FISIO 24/08/2021 ROHANI 10,000 94,000
315 4056 FISIO 24/08/2021 BONG SOEI JING 10,000 94,000
316 4057 FISIO 24/08/2021 AGUSTINA VERONICA 10,000 94,000
317 4089 FISIO 24/08/2021 BONG AY THIN 10,000 94,000
318 4091 FISIO 24/08/2021 LIE PIT ENG 10,000 94,000
319 4103 FISIO 24/08/2021 KAWIT BATMO TARUMO 10,000 94,000
320 4190 FISIO 25/08/2021 NASIAH 10,000 94,000
321 4191 FISIO 25/08/2021 SUCIPTO 10,000 94,000
322 4193 FISIO 25/08/2021 MARINI 10,000 94,000
323 4194 FISIO 25/08/2021 LAIJ SOEN SIAN 10,000 94,000
324 4196 FISIO 25/08/2021 SRI ASTUTI 10,000 94,000
325 4197 FISIO 25/08/2021 PINTA G HASIBUAN 10,000 94,000
326 4198 FISIO 25/08/2021 RASDIATI HARUN 10,000 94,000
327 4200 FISIO 25/08/2021 EKA KUSMINAR 10,000 94,000
328 4202 FISIO 25/08/2021 SAYUTI SYAMSURI 10,000 94,000
329 4203 FISIO 25/08/2021 BELMAN HENDRA 10,000 94,000
330 4205 FISIO 25/08/2021 PAINAH 10,000 94,000
331 4206 FISIO 25/08/2021 MARYANTI 10,000 94,000
332 4208 FISIO 25/08/2021 KAWIT BATMO TARUMO 10,000 94,000
333 4209 FISIO 25/08/2021 NILAWATI SIRIN 10,000 94,000
334 4214 FISIO 25/08/2021 MASLIN 10,000 94,000
335 4230 FISIO 25/08/2021 SINTA 10,000 94,000
336 4232 FISIO 25/08/2021 RUMAINI 10,000 94,000
337 4253 FISIO 25/08/2021 NAPISAH 10,000 94,000
338 4254 FISIO 25/08/2021 NURJATI 10,000 94,000
339 4368 FISIO 25/08/2021 KHIUN LOI 10,000 94,000
340 4369 FISIO 25/08/2021 MEGAWATI 10,000 94,000
341 4370 FISIO 25/08/2021 EMMY PINTAULI 10,000 94,000
342 4371 FISIO 25/08/2021 SRI ASTUTI 10,000 94,000
343 4372 FISIO 25/08/2021 FATIMAH 10,000 94,000
344 4373 FISIO 25/08/2021 PINTA G HASIBUAN 10,000 94,000
345 4374 FISIO 25/08/2021 H ISMAIL ISHAK 10,000 94,000
346 4376 FISIO 25/08/2021 SUPRIYANTO IMAM S 10,000 94,000
347 4377 FISIO 25/08/2021 DARNA FIDIAWATI 10,000 94,000
348 4379 FISIO 25/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
349 4380 FISIO 25/08/2021 TJHANG AI TJHUN 10,000 94,000
350 4381 FISIO 25/08/2021 MARIA MAGDALENA 10,000 94,000
351 4382 FISIO 25/08/2021 EKA KUSMINAR 10,000 94,000
352 4384 FISIO 25/08/2021 LODI HARSONO 10,000 94,000
353 4386 FISIO 25/08/2021 DAMHURI B DAHLAN 10,000 94,000
354 4387 FISIO 25/08/2021 ARYANI 10,000 94,000
355 4392 FISIO 25/08/2021 AGUSTINA VERONICA 10,000 94,000
356 4393 FISIO 25/08/2021 USNINA USMAN 10,000 94,000
357 4394 FISIO 25/08/2021 KMS MUSTAFA 10,000 94,000
358 4395 FISIO 25/08/2021 LIDIA YUNIATI 10,000 94,000
359 4396 FISIO 25/08/2021 SUKIATNO 10,000 94,000
360 4397 FISIO 25/08/2021 BERTHA LISBET 10,000 94,000
361 4409 FISIO 25/08/2021 MASLIN 10,000 94,000
362 4417 FISIO 25/08/2021 HASAN BASRI 10,000 94,000
363 4425 FISIO 25/08/2021 PHAN PAT TJO 10,000 94,000
364 4431 FISIO 25/08/2021 MELLY SURYADI 10,000 94,000
365 4442 FISIO 25/08/2021 BONG AY THIN 10,000 94,000
366 4589 FISIO 27/08/2021 NURJATI 10,000 94,000
367 4703 STEFANI 30/08/2021 PINTA G HASIBUAN
368 4754 FISIO 28/08/2021 TRI SULISTIKA 10,000 94,000
369 4756 FISIO 28/08/2021 PINTOR 10,000 94,000
370 4757 FISIO 28/08/2021 ALIAS 10,000 94,000
371 4759 FISIO 28/08/2021 BONG SOEI JING 10,000 94,000
372 4761 FISIO 28/08/2021 PHAN FOEI LIOENG 10,000 94,000
373 4762 FISIO 28/08/2021 SAYAH 10,000 94,000
374 4763 FISIO 28/08/2021 TANJENG 10,000 94,000
375 4767 FISIO 28/08/2021 AIJ LIE 10,000 94,000
376 4769 FISIO 28/08/2021 PAINAH 10,000 94,000
377 4785 FISIO 28/08/2021 BELMAN HENDRA 10,000 94,000
378 4968 FISIO 30/08/2021 EMMY PINTAULI 10,000 94,000
379 4969 FISIO 30/08/2021 TRI SULISTIKA 10,000 94,000
380 4970 FISIO 30/08/2021 LUNDU T 10,000 94,000
381 4971 FISIO 30/08/2021 LAIJ SOEN SIAN 10,000 94,000
382 4972 FISIO 30/08/2021 DARNA FIDIAWATI 10,000 94,000
383 4973 FISIO 30/08/2021 MELLY SURYADI 10,000 94,000
384 4974 FISIO 30/08/2021 ARMIN BASUKI 10,000 94,000
385 4975 FISIO 30/08/2021 JAPARIS PANGARIBUAN 10,000 94,000
386 4976 FISIO 30/08/2021 ASNIATY ISMAIL 10,000 94,000
387 4977 FISIO 30/08/2021 BUDI H 10,000 94,000
388 4978 FISIO 30/08/2021 USNINA USMAN 10,000 94,000
389 4979 FISIO 30/08/2021 SUHARDI USMAN 10,000 94,000
390 4980 FISIO 30/08/2021 NAPISAH 10,000 94,000
391 4981 FISIO 30/08/2021 DESI IRNOLIA S 10,000 81,000
392 4982 FISIO 30/08/2021 HECHDIMA 10,000 94,000
393 4983 FISIO 30/08/2021 ARYANI 10,000 94,000
394 4984 FISIO 30/08/2021 MARIA MAGDALENA 10,000 94,000
395 4986 FISIO 30/08/2021 DAMHURI B DAHLAN 10,000 94,000
396 4987 FISIO 30/08/2021 AGUSTINA V 10,000 94,000
397 4991 FISIO 30/08/2021 ERNIA 10,000 94,000
398 4992 FISIO 30/08/2021 SYAIDI 10,000 94,000
399 5008 FISIO 30/08/2021 LODI HARSONO 10,000 94,000
400 5009 FISIO 30/08/2021 LIE DJIT NJONG 10,000 94,000
401 5017 FISIO 30/08/2021 SAYUTI SYAMSURI 10,000 94,000
402 5047 FISIO 30/08/2021 HASAN BASRI 10,000 94,000
403 5071 FISIO 30/08/2021 LIE PIT ENG 10,000 94,000
404 5094 FISIO 30/08/2021 RUMAINI 10,000 94,000
405 5174 FISIO 31/08/2021 KRISMAN SIMATUPANG 10,000 94,000
406 5175 FISIO 31/08/2021 FATIMAH 10,000 94,000
407 5176 FISIO 31/08/2021 NILAWATI SIRIN 10,000 94,000
408 5177 FISIO 31/08/2021 TJHIN HO MOEIJ 10,000 81,000
409 5178 FISIO 31/08/2021 SUPRIYANTO IMAM S 10,000 94,000
410 5179 FISIO 31/08/2021 RATNA 10,000 81,000
411 5181 FISIO 31/08/2021 TJHANG AI TJHUN 10,000 94,000
412 5182 FISIO 31/08/2021 SINTA 10,000 94,000
413 5185 FISIO 31/08/2021 LUSIA 10,000 94,000
414 5186 FISIO 31/08/2021 ROHANI 10,000 94,000
415 5187 FISIO 31/08/2021 BALKIS 10,000 94,000
416 5188 FISIO 31/08/2021 INDO BARU 10,000 94,000
417 5189 FISIO 31/08/2021 RASDIATI HARUN 10,000 94,000
418 5191 FISIO 31/08/2021 TANJENG 10,000 94,000
419 5193 FISIO 31/08/2021 SAYAH 10,000 94,000
420 5194 FISIO 31/08/2021 PHAN FOEI LIOENG 10,000 94,000
421 5196 FISIO 31/08/2021 NAPISAH 10,000 94,000
422 5199 FISIO 31/08/2021 KMS MUSTAFA 10,000 94,000
423 5217 FISIO 31/08/2021 SUHARDI USMAN 10,000 94,000
424 5229 FISIO 31/08/2021 PHAN PAT TJO 10,000 94,000
425 5239 FISIO 31/08/2021 TJEN KWEE FONG 10,000 94,000
426 5258 FISIO 31/08/2021 BONG AY THIN 10,000 94,000
427 8585 FISIO 24/08/2021 NURZAILA 10,000 94,000
428 122 FISIO 02/08/2021 MURIDAH 10,000 94,000
429 732 FISIO 05/08/2021 SUPARDI AZAM 10,000 94,000
TOTAL 4,270,000 40,099,000
dr. Stefani Wylna W, Sp. KFR
Visite Diskon Total

57,810
57,810
34,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
58,230
34,230
58,230
34,230
34,230
34,230
58,230
34,230
34,230
57,810
34,230
58,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
34,230
34,230
34,230
34,230
58,230
34,230
34,230
34,230
34,230
57,810
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
58,230
34,230
34,230
57,810
57,810
57,810
34,230
58,230
34,230
34,230
34,230
34,230
34,230
58,230
34,230
57,810
34,230
34,230
34,230
34,230
58,230
34,230
34,230
34,230
58,230
34,230
34,230
34,230
34,230
58,230
58,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
57,810
34,230
34,230
34,230
34,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
57,810
34,230
34,230
34,230
57,810
34,230
34,230
34,230
34,230
34,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
58,770
57,810
58,230
34,230
58,230
34,230
34,230
34,230
34,230
34,230
34,230
57,810
34,230
57,810
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
34,230
 57,810
57,810
57,810
34,230

- - 7,171,530

dr. Stefani Wylna W, Sp. KFR

Visite Diskon Total

57,810
57,810

- - 115,620

dr. Stefani Wylna W, Sp. KFR

Visite Diskon Total

58,230
58,230

- - 116,460

dr. Stefani Wylna W, Sp. KFR Total

Konsul Tind. Visite Diskon Total Keseluruhan

57,810 - 104,000 104,000

57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 50,000 50,000 50,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 50,000 50,000 50,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 91,000 91,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 91,000 91,000
57,810 - 104,000 104,000
57,810 - 91,000 91,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
 57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
57,810 - 104,000 104,000
24,800,490 - - - 100,000 44,469,000 44,469,000
 PIHAK KETIGA RAJAL POLI PAGI OKTOBER 2021
Kode dr. Stefani Sp KFR
NO Tanggal NAMA PASIEN
Dokter Konsul Tind. Visite Diskon

1 STEFANI 05/10/2021 BUDI HARJO 120,000

TOTAL 120,000 - - -
KFR
Total

120,000

120,000
 MCS RAJAL POLI PAGI OKTOBER 2021
Kode dr. Stefani, Sp. KFR
NO Tanggal NAMA PASIEN
Dokter Konsul Tind. Visite Diskon

1 FISIO 23/09/2021 EDI LINARTA 100,000 45,000

2 STEFANI 04/10/2021 ALFIRA RAHMANIA 120,000 -
3 STEFANI 09/10/2021 MIRAWATI 120,000
4 STEFANI 11/10/2021 TINTON NURCAHYA 120,000
5 STEFANI 19/10/2021 ASEP S 120,000
6 STEFANI 21/10/2021 DHONA APRIZA 120,000
7 STEFANI 25/10/2021 IBNU FAJAR DWI I 120,000

TOTAL 820,000 45,000 - -

PT DAK RAJAL POLI PAGI OKTOBER 2021

Kode dr. Stefani, Sp. KFR
NO Tanggal NAMA PASIEN
Dokter Konsul Tind. Visite Diskon

1 STEFANI 04/10/2021 LILIS SURYANI 120,000

TOTAL 120,000 - - -
KFR
Total

145,000
120,000
120,000
120,000
120,000
120,000
120,000

865,000

KFR
Total

120,000
120,000
Asuransi Rajal RBT
Oktober 2021

NO Kode Dokter Tanggal Nama Pasien dr. Stefani Wylna W, Sp. KFR
Konsul Tind. Visite Diskon

1 Stefani 07/10/2021 Alfiqrie Maharanie Rp120,000

2 Fisio 12/10/2021 Alfiqrie Maharanie Rp100,000 Rp45,000
3 Fisio 14/10/2021 Alfiqrie Maharanie Rp100,000 Rp45,000
4 Fisio 26/10/2021 Alfiqrie Maharanie Rp100,000 Rp45,000
5 Stefani 19/10/2021 Bahrum Rp120,000
6 Fisio 21/10/2021 Bahrum Rp100,000 Rp45,000
7 Fisio 25/10/2021 Bahrum Rp100,000 Rp45,000
8 Fisio 28/10/2021 Bahrum Rp100,000 Rp45,000

TOTAL 840,000 270,000 - -

W, Sp. KFR
Total

Rp120,000
Rp145,000
Rp145,000
Rp145,000
Rp120,000
Rp145,000
Rp145,000
Rp145,000

1,110,000